BLAINE ERIC BOOHER (NPI# 1013221373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013221373 |
Entity Type | Individual |
Full Name | BLAINE ERIC BOOHER |
Credential | PT |
Practice Address |
16020 Park Valley Dr Round Rock TX 78681-3573 |
Practice Telephone | 5123881448 |
Practice Fax Number | 5123887854 |
Mailing Telephone | 5123881448 |
Mailing Fax Number | 5123887854 |
Enumeration Date | 2010-07-28 |
Last Update Date | 2010-07-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1191290 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
16020 PARK VALLEY DR |
City | ROUND ROCK |
State | TX |
Zip Code | 78681-3573 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891784419 | Martha Z Hanssen | Physical Therapist | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2005-10-17 |
1124637913 | Yuliya Skibchyk Strickland | Physician Assistant | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2020-07-28 |
1023548252 | Christopher Carl Hanson | Physician Assistant | 16020 Park Valley Dr, Round Rock, TX 78681 | 2017-06-20 |
1497286009 | Margaret Anne Williams Burger | Physician Assistant | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2017-03-24 |
1457718843 | Thea M. Libbos | Physician Assistant | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2016-01-15 |
1225467095 | Peter Ibarra | Physician Assistant | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2013-11-02 |
1114289022 | Travis J Wilson | Orthopaedic Surgery | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2012-06-15 |
1407153943 | Benjamin W Szerlip | Orthopaedic Surgery | 16020 Park Valley Dr, Round Rock, TX 78681 | 2011-02-18 |
1508184508 | Ryan Metri Taylor | Orthopaedic Surgery | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2010-05-14 |
1023216348 | Jennifer Noel Lord | Orthopaedic Surgery | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2007-07-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861009912 | Sarah Spinelli | Orthotist | 555 D Round Rock West Drive, Suite 100, Round Rock, TX 78681 | 2020-09-23 |
1427663673 | Aparna Kandimalla | Pharmacist | 800 West Old Settlers, Round Rock, TX 78681 | 2020-09-14 |
1366088700 | Lilian Abeh Tayong | Nurse Practitioner | 1750 Round Rock Ave, Suite 200, Round Rock, TX 78681 | 2019-11-20 |
1427513654 | Pain Treatment Centers of America, Pllc | Pain Medicine | 511 Oakwood Boulevard, Suite 200, Round Rock, TX 78681 | 2019-02-01 |
1841768991 | Maricruz Luna | Counselor | 2509 Arbor Ct, Round Rock, TX 78681 | 2018-11-07 |
1497230411 | Kimberly A Dunn | Registered Nurse | 2206 Falkirk Dr, Round Rock, TX 78681 | 2018-09-25 |
1023591435 | Brooke D. Peplinski, Lpc, Ncc, Pllc | Counselor | 600 Round Rock West Drive #305, Round Rock, TX 78681 | 2018-09-11 |
1336649995 | Amanda Beth Ming | Chiropractor | 2000 S Ih 35 Ste H-1, Round Rock, TX 78681 | 2018-02-20 |
1831609809 | Kim Sullivan | Counselor | 10a Chisholm Trl, Round Rock, TX 78681 | 2017-10-04 |
1487193116 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3000 Rm 1461, Round Rock, TX 78681 | 2017-02-14 |
Find all providers in zip 78681 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841521796 | Jason Hargrave | Physical Therapist | 7200 Wyoming Spgs Ste 400, Round Rock, TX 78681-4304 | 2010-01-15 |
1124580758 | Rachel Lindsay Green | Physical Therapist | 300a University Blvd, Round Rock, TX 78665-1032 | 2019-04-02 |
1184099673 | Casey Hughes | Physical Therapist | 301 Hesters Crossing Rd, Suite 160, Round Rock, TX 78681-6946 | 2015-12-09 |
1881060564 | Patrick Guenette Kelly | Physical Therapist | 301 Hesters Crossing Rd, Suite 160, Round Rock, TX 78681-6946 | 2015-08-17 |
1083788608 | Affiliated Physical Therapy and Rehabilitation Clinic Inc | Physical Therapist | 16040 Park Valley Dr, Suite 200, Round Rock, TX 78681-3573 | 2006-11-17 |
1538193768 | Colleen Basler | Physical Therapist | 302 University Blvd, Round Rock, TX 78665-1032 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245837889 | Jeremy Tan | Physical Therapist | 505 S Friendswood Dr Ste 101, Friendswood, TX 77546-2254 | 2020-10-06 |
1184232100 | Cindy Hon Pt Pllc | Physical Therapist | 3832 Gildas Path, Pflugerville, TX 78660-4168 | 2020-07-15 |
1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
1790300226 | Jave Del Rosario | Physical Therapist | 3601 N Macgregor Way Ste 514, Houston, TX 77004-8004 | 2020-06-10 |
1922634724 | Carra Dudley | Physical Therapist | 415 E Parkwood Ave, Friendswood, TX 77546-5149 | 2020-03-13 |
1013542513 | Alexis Nicole Shoope | Physical Therapist | 3300 Cummins St Apt 2329, Houston, TX 77027-5992 | 2020-03-05 |
1861026437 | Robin Elizabeth Mcgee | Physical Therapist | 2555 Gulf Fwy S Ste 400, League City, TX 77573-6742 | 2020-02-23 |
1811520612 | Christopher William Chenault X | Physical Therapist | 14857 Southwest Fwy # C303, Sugar Land, TX 77478-5016 | 2020-02-20 |
1770116584 | Jordan William Ordoyne | Physical Therapist | 545 Creekside Xing Ste 138, New Braunfels, TX 78130-4271 | 2020-02-20 |
1972136851 | Nicole Marie Baker | Physical Therapist | 9180 Pinecroft Dr, Shenandoah, TX 77380-2794 | 2020-02-19 |
Find all providers with the same taxonomy |
City | ROUND ROCK |
Zip Code | 78681 |
Please comment or provide details below to improve the information on BLAINE ERIC BOOHER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.